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Individual

MICHAEL T BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43101
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701567
MEDICA #
MN
01
1172372
AMERICA'S PPO/ARAZ #
MN
05
12150
MN
01
141993
UCARE #
MN
01
20477
NDBS #
MN
05
5041522000
MN
01
73Q72BA
MNBS #
MN
01
DA9021026958
PREFERRED ONE #
MN
01
HP38654
HEALTHPARTNERS #
MN
01
ND200210
LHS #
MN
Enumeration date
07/03/2006
Last updated
04/06/2022
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